Individual
MR. AUGUSTINE R EZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 MAJESTIC CT STE F, GASTONIA, NC 28054-5190
(704) 864-6500
(704) 864-0104
Mailing address
825 MAJESTIC CT STE F, GASTONIA, NC 28054-5190
(704) 864-6500
(704) 864-0101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9600205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900575
—
NC
Enumeration date
07/13/2005
Last updated
06/16/2014
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